Post Mastectomy Breast Reconstruction PSP (Canada) Question Verification Form

The purpose of this Question Verification Form is to enable Priority Setting Partnerships (PSPs) to describe clearly how they checked that their questions were unanswered, before starting the interim prioritisation stage of the process.

The JLA requires PSPs to be transparent and accountable in defining their own scope and evidence checking process. This will enable researchers and other stakeholders to understand how individual PSPs decided that their questions were unanswered, and any limitations of their evidence checking.

Name of the PSP

Post Mastectomy Breast Reconstruction Priority Setting Partnership

Please describe the scope of the PSP

The scope of the study includes all of the stages of the post mastectomy breast reconstruction process including, mastectomy surgery consultation, breast reconstruction surgery consultation, waiting period for reconstruction surgery, breast reconstruction surgery, and post-surgical recovery. This includes reconstruction (immediate or delayed) as a result of prophylactic or therapeutic breast cancer.

Please provide a brief overview of your approach to checking whether the questions were unanswered

We took a broad approach to identifying literature for the evidence check. We have decided to review high level systematic reviews and clinical guidelines.

Please list the types of evidence you used to verify your questions as unanswered

Systematic reviews and clinical guidelines.

Please list the sources that you searched in order to identify that evidence

Cochrane Reviews

NICE guidelines

Clinical Practice Guidelines Infobase (from the Canadian Medical Association)

What search terms did you use?

“breast reconstruction” and “reconstructive mammoplasty”

Please describe the parameters of the search

Because of the limited literature on breast reconstruction, we decided not to have any time limits or location limits. We limited the literature to English only.

Names of individuals who undertook the evidence checking

Anisha Mahajan

On what date was the question verification process completed?

Tuesday February 26^th 2019